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Home My WebLink AboutMiscellaneous - 2 MARBLERIDGE ROAD 4/30/2018 2 MARBLERIDGE ROAD J 2101037-A-0011-0000-0 TOWN OF NORTH ANDOVER of "°RDTH qti . o 3re�•d, ...,,, a 0 Building Department 1600 Osgood Street 1 Building 2- Suite 2-36 Building Dept "Arm SACH�S North Andover MA 01845 Tel: (978) 688-9545 Fax (978) 688-9542 COMPLAINT FOR INVESTIGATION DATE: r2-1 el lZ TEL #: NAME OF COMPLAINTANT: ADDRESS: '2� P-(,�l. .��' r.�- 1-2'< 1_ l O t�I COMPLAINT TYPE: c�rju Electrical: A x1 - rt f s �, ,�,► ��; . ; �,, Y I-A)v 1) Plumbing: ti Gas: Building: Property Owner: b t�,j Address: Other: l tf r- s NsczA-L t�Z-i civ LC.A-i)Q rl L i=o is I.!.l"i,-- 7--0 1-f A ill�Z- I'S l2- T D t��-�� 2 Signed: Complaint Form-Revised 6.2007 2 . ,�,". M Y�`M9+�zwrx+•^+m+�n:s sw:, w: - _.ate 'b" �h r n 3 a �.LmiY^saAtti ++isat�_k.aw. .�..sw _ •N 'v',. .. w 4 x 2 x s rte{ m5 J. 16 " ty� S Fs to n i x y�,,t pec i Y i - i� i y{ � S r SPA aJ Certified Plot Plans A Certified Plot Plan is a stamped drawing. Drawn to a measurable scale by a state registered engineer or a state registered land surveyor. It shows a piece of land, its boundary lines,total square footage, and locates all the existing structures on the land. (i.e. houses, decks, pools, garages, fences, driveways, sheds, parking spaces, etc.) A certified plot plan can be done two ways, an inexpensive tape survey, or an instrument survey. Type would be determined by the use and how accurate the information is needed to be. It is NOT required to be a recorded instrument. Why do you need a Certified Plot Plan ? To professionally identify the locations of buildings and structures on the site.This information is necessary to allow the zoning, building, and plan review departments to evaluate your application fairly and completely. Some Local Survey Companies in the North Andover Area �co tf �—1 I-,-- s . ll'9�me4e'/d N ,q-774-lo dam- - Frank Giles, P.L.S 978-975-2059 Jack Sullivan, P.E. 978-352-7871 Waypoint Survey 978-505-5261 Merrimack Engineering, Inc. 978-475-3555 Christiansen &Sergi, Inc. 978-373-0310 Hancock Associates 978-777-3050 Neve Associates 978-887-8586 Amerisite Land Survey 603-483-5880 North Andover MIMAP December 7, 2015 037.A-0003 C 037.ArOO 5 037.A=0052 037.A=0053 V.03 7A 0006A; _ _ 037.A-0008 25 CASTL'EMERE.PL 037.AAAAA�5'1 .g _ - earLQ P 03.7.A-0010 V 325 GREAT/POND RD i` f �Water Protection 037:C-001.1 R1� a aOQi 2 MARBLERIDGE,RD / 45 CASTLEMERE'PL m P t 03.7:A-0012 16 MARBLERIDGE RD r 28 MARBL'ERIDGE RD 037.A-0030 037.A-0042 i 65 CASTLEMERE'PL 37.0=0012 037.A-0031 40 MARBLERIDGE RD r 13 MVPC Bo Wetlands Zoning 13 tdc st Municipal Boundary 0 Exempt Lands C Busine s 1 Di0 Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Rail Line - O Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates 0 Busine s 4 District HDRTH Valley Planning Commission(MVPC)using data provided by the Town of _I 0 Gonera Business District �f ao r p� North Andover.Additional data provided by the Executive Office of —SR 0 Planne Commercial Dev -? `fit« �� Environmental Affairs/MassGIS.The information depicted on this map is 0 Corrido Development Dist ,3 L for planning purposes only.It may not be adequate for legal boundary -- Roads 0 Comido Development Dist 0 - " A definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER &71 Easements O Corrido Development Dist F _ A MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING SY Induslri I 1 District « # THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ❑Parcels 0 Indusld 2 District } i •^ Y OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Zoning Oveday 0Indusld 13 District #o 4 3 ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF 0 Adult Entertainment 0 Indusln S District THIS INFORMATION 0 Downtown Overlay District Reside ce 1 Distdct �i7�O��"o B Historic District O. Reside ce 2 District s$AC„V§$ 0 Water Protection 0 Rookie ce 3 District 0 Hydrographic Features dei ce4 District de ce 5 Distdct —streams X11—91 ft ode ce6 District —.,e esidential District North Andover MIMAP December 7, 2015 [ 1. , r � •aha ., §911�� r +f x t z \ j r Y ` x r " k v ".i`,,��. •� ..;4 .AIT' r� 1 �F E3 MVPC Bo Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, —SR Meters Data Sources:The data for this map was produced 6y Merrimack NORTq: Valley Planning Commission(MVPC)using data provided by the Town of Roads Of t"ep i � North Andover.Additional data provided by the Executive Office of r Easements - �� 00 Environmental Affairs/MassGIS.The information depicted on this map is ❑Parcels 3 _ L for planning purposes only.It may not be adequate for legal boundary F --- '� definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING 41 - qFVWW �. - THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ♦ s + y OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ♦o� `4 • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF `�,�'p THIS INFORMATION ,SSACOW 1"=91 ft � ° 0 (M Crawford Crawford &Company 1001 Summit Blvd Atlanta, GA 30319 Phone 877-346-0300 6/18/2015 Building Commissioner 1600 Osgood Street North Andover, MA 01845 Re: Insured: Ernesto Lopez Claim Number: 033594741 Policy Number: 87329400003 Our File: 6776-2633067 Date of Loss: 2/14/2015 Type of Loss: Ice Damming Location of Loss: 2 Marbleridge Rd North Andover, MA 01845 To Whom It May Concern: A claim has been made through Arbella Mutual Insurance Company which involves loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Very truly yours, James Warren Crawford &Company CC: City/Town Fire Dept, City/Town Health Dept N Date....`. . . 2.....0/'�yy ..... NORTH °t<"`° '•. TOWN OF NORTH ANDOVER p PERMIT FOR WIRING •O'�gT�D•�`� �,SSACNUS� Thiscertifies that ........................................../................... e ............................ has permission to perform ... �'� G,/f 4/7/V............................ wiring in the building of , C�PE'z' .................... ........................................................... at...d............I�...�2)D G.. .......................... .North Andover,Mass. ,1 Fee ... Lic.No`.7k....... ............ .. ...� .r�. ELEcrRicAL INSPER �w Check # 3177- 7154 177- ?154 Commonwealth of Massachusetts Official Use only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her inR 'on to perfo the electrical work described below. Location(Street& Number) �V& 6 `y v Owner or Tenant Le S Z-0 P&2— Telephone No.'? SC�S 3S Owner's Address C2 ym `c'._ I dee V- kv/1-4 Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the followingtable ma be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above [n- o. o mergency Lighting No.of Luminaires Swimming Pool rnd. ❑ rnd. ❑ Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners oTotaInitiating Devices s No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Num er Tons W No.o Self-Contained p Totals: Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW Local❑ Municipaloecti ❑ Other P g Connection No.of Dryers Heating Appliances KW Security Systems: Y No.of Devices or Equivalent No. of Water No.o o.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: 00 5 ,P— I ll 5 Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove ra e . in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) /certify,under the pains and penaltiesofperjury,that tl,te information on till' 1c tion is true and complete. FIRM NAME: ,f fav GytJ•�nl 1��2� LIC. NO.: Licensee: jx, %� UyeRl iPi2 Signature ,•�-' '1 LIC. NO.: (If applicab e, enter exempt"a the. e e nz mber line.)/ f� e� Bus.Tel. No.: Address: , � } �lf' �'U i`// ��/_ l� �L'ii��/ AIt.TeI. No.: *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, 1 hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intent'on to perfo the electrical work described below. Location(Street& Number) � /��,p AF,* V )40 Owner or Tenant R te S Z-0 pof 2 Telephone No. 1 j—�'7S 5 35•Z Owner's Address c2 /e ``E'_ ) Cf— 1104-4 Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters e Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: x Completion of the ollowin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency ig mg rnd. rnd. of Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number I Tons I.KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Mun'c'pal ❑ Other Connection pp No. of Dryers HeatingAppliances KW Security Systems: No.of Devices or Equivalent r No.of Water KW No.of No.o Data Wiring: Heaters Si ns Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: Del s L)54 5 4; Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covera e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of erjury,that 11A information on thi is tion is true and complete. FIRM NAME: �(j�`p (_ lJ��> rOL.., LIC. NO.: Licensee: &ggyg: vye2, 'e►2 Signature LIC. NO.: (If applicab ee, ente i the li e e n tuber line.) J / Bus.Tel. No.: Address: ,�'� /I l/ /'7l�ll ��`/i Alt.Tel. No.: 97 fr37L/Z1'C *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ lJ l'L D�O -7 Date.. ' ...... NORTH t.e °:° ° TOWN OF NORTH ANDOVER y PERMIT FOR WIRING ,S$ACHUSE� P/ . J' � This certifies that - .... - +1 :................................ has permission to perform... - ...... ................ wiring in the building of.... . ..................................................... r; 1;;�:...- :.:^... 1 ..... North Andover,Mass. Fee �.... Lic.No%'zz ......... .....................�'.` C ELECTRICAL INSPE R i Check # f �� 8424 R Commonwealth of Massachusetts Official Use Only �� Department of Fire Services Permit N°.—�- Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Al work to be performed in accordance with the Massachusetts Electrical Code � (MEC),527 CMR 1_.0 ) LEASE PRINT IN OR TYPE ALL INFO � RMATION Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform.the electrical work described below. Location(Street&Number) 2. /M AP Pj L C R-11)I•C Owner or Tenant ( , �.Lt fj Z . Telephone No. Owner's Address �j X4 y� Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Boz) 4 Purpose of Bait j I 1 me'P � � 1 .,Utility Authorization No. Existing Service Amps / ZZei Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: C-/'Jcu);L C Completion of thefiollowing table may be waived by the Inspector of Wires. t No.of Recessed Luminaires No.of Total�. No.of Ceil.-Susp. (Paddle)Fans' "" Transformers KVA ' No.of Luminaire Outlets No.of Hot Tubs GeneratorsA No.of Luminaires Swimming Pool Above In- ❑ Ao.of Emergency Lighting rnd90MMd. i¢ Battery Units No.of Receptacle Outlets No.of Oil Burners '" FIRE ALARMS No.of Zones a No.of Switches No.of.Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: .__ "--" Detection/Al • a Devices No.of Dishwashers Beating S ace/Area HMunicipal P b KW I'O�❑ Connection Other No.of Dryers Heating Appliances KW Securitio o Devices or Equivalent No.of Water , No.of No.of Data Rr a Heaters Sian Ballasts No.of D; Devices or Equivalent No.Hydromassage Bathtubs No.of MotorsTotal HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: fie_ Z/— OV. Inspections to be requested in accordance with MEC Rule 10,and upon..completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE A BOND ❑ OTHER ❑ (Specify:) I certify, under thuains and penalties of Ver ury, that the information on this application is true and complete. FIRM NAME: f LU n LIC.NO.: Licensee: C t7 Signature LIC.NO.i i�: 0 �Z (If applicable, enter"ex pt"in the icense�number line.) Bus.Tel.No.: s T-1'1F 05' Address: �'�- 02( ZzZ� !"r!_�, �. A,0 7�1 Alt.TeL No.: 4—e r 0�. y *Per M.G.L c. 147,s..57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: i am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ J Y The Commonwealth of Massachusetts i Department of Industrial Accidents tail rJl Office of Investigations 600 Washington Street IIIIV "= Boston MA 02111 \.w t www.nzass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeAbly Name (Business/Organization/Individual): S�) Address: City/State/Zip: )�96 UvI A/ D % Phone#: 1 j Are you an employer?Check the appropriate box: Type of project(required): l.❑ I am a employer with 4. ❑ I am a general contractor and I . employees(full and/or part-time).' have hired the sub-contractors 6. ❑New construction Ia m a sole proprietor or partner- listed on 7. �•� P P P the attached sheet t ❑ Rernodeitng ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. o workers comp. insurance 5. 9. ❑ Building addition (?`l p. ❑ We area corporation and its required.] officers have exercised.their 10:7 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. C. 1.52, §1(4),and we have no insurance required.) t employees. [No workers' 12.❑ Roof repairs comp. insurance required.] 1.3.0 Other *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. I Homeowners wlio submit.this affidavit indicating they arc deiEig el!work fold ihen hire outside co nt:actors must submit.a ne +Contractors that check this box must attached an additional sheet showing thw affidavit indicaring such. e name of the sub-contractors and their workers'comp,policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-.ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cc nder he pains and maples of perjure that the information provided above is true and correct Sicunature: r� Date: Xd� Phone#: -� 5 �'�� J Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitlLicense# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information .nd Instructions - �- Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit,to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptabie evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have._ employees,a policy is required. Be advised that this afficla.vit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the lam,or if you are required to obtain a workcrs' compensation policy,please call the Department at the narnber.listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitAicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like t6 thank you in advance for your cooperation and shouldou have an questions, Y Y lease do not hesitate to give us a call. P The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigatiions 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05. www,mass.gov/dia i v 17, r� K A M I N S K I Richard F.Kaminski&Associates,Inc. October 17,2008 Riverwalk 360 Merrimack StreeTown of North Andover Lawrence,MA 0184Building Department Te/9781687-1483 1600 Osgood Street Fax 9781688-6080 North Andover,MA 01845 ATTN: Brian Leathe Local Building Inspector RE: Building Addition Lopez.REsidence----1 Marbleridge Road r�--`North Andover,MA Dear Sir: As requested by Ardian Pjetri,the building contractor for the Lopez residential addition,I have evaluated the structural condition of the existing triple 13/4 x 117/8 Laminated Veneer(LVL)assembly over a new opening in the rear wall of the structure. Specifically,the assembly acts as a"header beam"with a clear span of 14'-6". It carries part of the second floor of the building,an existing and new roof as well as other miscellaneous loads. After applying appropriate design loads to this assembly,I recommend that the existing beam span be reduced to 10'-8"clear and that new triple 2 x 6 laminated wooden columns be added at these support points. These laminated columns should be attached afthe top of the triple LVL assembly with Simpson CC66 Column Caps. The base of the laminated columns should be attached firmly to the existing building sill and thoroughly nailed to the existing floor joists. If you h.1V��ysquestions regarding my evaluation or recommendations,please call me. tNac +�qpU Respectfully, � ► F � ► MMINSKID RICHARD F. KAMINSKI&ASSO ATES,INC. W29031 s IANA%. �• Richard F. Kaminski,P.E. President RFK/Ih rfk11540 cc: Ardian Pjetri Architecture Engineering Surveying Land Planning Date.`: . .". .�� . . . ° 4362 TOWN OF NORTH ANDOVER . o ° PERMIT FOR PLUMBING i • CHUS s � a This certifies tha . . . . . . . . .. has permission to perform ._...r.:-- . a-. . -' . . . . . . . . . . • . plumbing in the buildings.of ,... . . . . • • • • • • • • • • • • • • • • • • at. . . �.�� '�Q!. • *4 • •.,fNorth Andover, Mass. Fee�.7. . . . . . .Lic. No! 1 . . ! --'. . . . . . . . . 6, PLUMBt� PECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print r Type) Type) dy/_0W_,_M_ass. Date ,j� Permit # el3 Building Location C:.,? Owner's Namc h Type of Occupancy New ❑ Renovation O Replacement�� Plans Su ed: Yes ❑ No ❑ FIXTURES Z N - N r- a, N N o z y N W Y J N U Q y W W h Z N 4 < ~ Z v H ¢ = Z O OV) W N VV3 S N N U W N Z N W < x F• y Z ¢ a a Q W o 7 w < y ¢ < W N O J Z O O 0 30 W W z ~ ~ O O J C h- Q X C a x F- U > f, O X d ? N F. X a o Z Z d W w X W O Z O o _ - I- ' Y J z V7 N < < < J OJ < ¢ ¢ Z < O < l- N O N U. O O O < 03 o SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR .7TH FLOOR. .. 8TH FLOOR �y Installing Company NamerQ4SS14C jC1 O/�/ ,h/ �f � Check one: Certificate Address ❑ Corporation ❑ Partnership Business Telephone' /27� ��Q/�� p Frm/Co. Name of Ucensed Plumber INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes�r No ❑ If you have checked Les, please indicate the type coverage by checking the'appropriate box. A liability Insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVERI am aware that the licensee does not have the insurance coverage required by : . Chapter 142 of the,Mass..General Laws, and that my signature on this permit application waives this requirement. _ Check one:. _ - S+gnature of Avner or Owner'sagent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that ail plumbing work and installations perfo under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts Stale Plumbing and apter 142 of General Laws. BY Fur, of Licensed I Title 9 it Gty/Town Type of License: Master CT--- Journeyman APPROVED (OFFIC US ONLY) License Number BELOW FOR OFFICE USE ONLY ' s — f T' S FINAL MMCTM" SKETCHES FEE PRO( NO. APPLICATION FOR PER=TO DO PLUMSMiO UNDERGROUND ROUGH COMPLETE ROUGH FINA4INSPECTION PERMIT GRANTED DATE if PLUMOMlO INSPECTOR N° 1 706 Date.... .. 1....1 NORTH "°°� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMuSE� This certifies that .._, ..!Q �. �'C S±&J i c`es f} �cc JZ Sv 51r w1. has permission to perform ...... ................................... .................. wiring in the building of...... tNv(Z(./!�Ma,....L—Opt '. ................................. at..... ... !1 cc Q f..l .!. l;R....... (.. .y............ `North Anter, Fec�...... �............ Lc.No. ............. .............. ,.,.... ..................................... It 0 �� 7`� ELECTRICAL INSPECTOR 46/08/98 14:22 35.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer (� U 3 P U`�( Office Use Only / of �e 90mmonwettl Of MUSUC41100 Permit No. V Department of Public $afetg j Occupancy A Fes Checked 3/90 (leave blank) BOARD OF FIRt:PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 5/28/99 City or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 2 MARBLE RIDGE ROAD Owner or Tenant NORMA' LOPEZ (978) 975-5552 Owner's Address Is this permit In conjunction with it building permit: Yes ❑ No (Check Appropriate Boz) Purpose of Building Utility Authorization No. t?xisting Service Amps_J.�voits Overhead ❑ Undgmd ❑ No. of Meters ' aw,Service _Amps_.__J_..—Volts Overhead ❑ Undgmd ❑ No. of Meters r Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Thnstorrttsrs Tbtal No.of Lighting Outlets No.of Hot Tubs KVA Swimming Pool Above in- KVA No.of Lighting Fixtures gmd. ❑ gmd• ❑ Generators No.of Emergency Lighting No.of Receptacle Outlets No.of Oil Burnam Battery Units No.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of zones No.of Detection and No.of Ranges No.of Air Cond. tons Initiating Devices No.of Disposals 140.01 Host Total Tons bisll No.of Sounding Devices pumpsNo.at sen C4w"ned SPAa Heating KW Dsl�ing Devices No.of Dishwashers Municipal ❑Other No.of Dryers Heating Devices KW Local ❑ elmuw etton No.of No.of Low No.of Water Heater KW 819 Ballasts Wiring BURGLAR ALARM No. Hydro Massage labs I No.of Motors lbial HP OTHER: INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts incl Completed Operations Covsrage or its substantial equivalent. YES G NO O 1 general Laws 1 have a current Liability Insurance PdkY Including have submitted valid proof of same to the Office.YES O NO O if you have checked YES.please indicate the type of coverage by checiting the appropriate box. INSURANCE O BOND. O OTHER O (Please Spedfy) (Expiration Date) Estimated Value of Electrical Work S 185'00 5/25/99 inspection Date Requested: Rough Final 5/28/99 Work to stars _ Signed under the Penalties of penury: Tine UC.NO._Z31G — FIRM NAME LIC.NO. . 12310 Licenses nnnald A Bree it _signature – (gp3) 7414008 Bus.Tel.No. Address 111 Morse Street.-Norwood, MA Alt•Tbl.No. OWNER'S INSURANCE WAIVER:1 am aware that the Licenses does_not have the Insurance cowngs or Its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application walves this requirement.Owner Agent (Please choeKone) , ,,.Tblophons No. _• PERMIT FEE S L 00 (Sgnsture of Owner or Agent) .•riar,5